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Organization

HEARTLAND REGIONAL MEDICAL CENTER

Active
Other names
Mosaic Life Care
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY PATTERSON (PROVIDER ENROLLMENT SPECIALIST)
(816) 271-7861
Entity
Organization

Contact information

Practice address
6301 N LUCERNE AVE, 8880 NE 82ND TERRACE, KANSAS CITY, MO 64158, KANSAS CITY, MO 64151-3105
(816) 569-1803
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
(816) 271-1713

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
2471S1302X
Sonography Radiologic Technologist
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MO
282N00000X
General Acute Care Hospital

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063677961
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
Enumeration date
07/21/2008
Last updated
05/19/2016
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